SHRIPRIYA MOHAN O'NEILL (NPI# 1265990212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265990212 |
| Entity Type | Individual |
| Full Name | SHRIPRIYA MOHAN O'NEILL |
| Credential | CPNP |
| Practice Address |
8500 Executive Park Ave Ste 110 Fairfax VA 22031-2228 |
| Practice Telephone | 7035730504 |
| Mailing Telephone | 7035730504 |
| Mailing Fax Number | 7035734856 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024177244 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8500 EXECUTIVE PARK AVE STE 110 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369351 | Alan Eric Benheim | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2006-01-04 |
| 1518018076 | Sarah Ann Chambers Gurson | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2007-01-12 |
| 1306824909 | Jin Hyuk Park | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518291749 | Karlin Tate Krebs | Nurse Practitioner | 10657 Braddock Rd, Fairfax, VA 22032-2202 | 2009-09-21 |
| 1326114539 | Ashley Marie Gerami | Nurse Practitioner | 8505 Arlington Blvd Ste 100, Fairfax, VA 22031-4630 | 2006-11-28 |
| 1578114286 | Lindsey Ott | Nurse Practitioner | 8081 Innovation Park Dr Ste 765, Fairfax, VA 22031-4867 | 2019-09-24 |
| 1598250532 | Melodie Christina Wuorinen | Nurse Practitioner | 13135 Lee Jackson Memorial Hwy Ste 201, Fairfax, VA 22033-1907 | 2018-06-22 |
| 1568902567 | Jessica Erin Stafford | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-02-24 |
| 1770025876 | Margaret Goss | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-11-07 |
| 1609248012 | Megan Dushek | Nurse Practitioner | 2730-c Prosperity Avenue, Fairfax, VA 22031 | 2015-10-25 |
| 1215311592 | Stacey Michelle Akers | Nurse Practitioner | 3700 Joseph Siewick Dr, Suite 300, Fairfax, VA 22033-1744 | 2015-07-16 |
| 1831528991 | Meghan Glassmacher Cromwell | Nurse Practitioner | 2730 Prosperity Ave, Ste A, Fairfax, VA 22031-4329 | 2013-11-08 |
| 1194005199 | Michelle W Brown | Nurse Practitioner | 2730 Prosperity Ave Ste C, Fairfax, VA 22031-4330 | 2011-08-22 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.